Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mimi Song Idicula, NP
Nurse Practitioner in Irving, TX · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1003009580
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Registry record
Entity type Individual (Type 1)
Name Mimi Song Idicula
Credential NP
Sex Female
Practice address 6161 N State Highway 161, Irving, TX, 75038
Phone (972) 258-7499
Fax (972) 257-0897
Enumeration date Aug 20, 2007
Last updated in NPPES Jul 13, 2021
Taxonomy & licenses
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP137449 (TX) Primary
NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority.
About the NP credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP137449 | Other | TX | NURSE PRACTITIONER |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
How do I verify Mimi Idicula's NPI record?
Cross-check NPI 1003009580 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1003009580 active?
Yes, as of the latest NPPES snapshot, NPI 1003009580 is active (record last updated 2021-07-13).
Other providers at this practice address
Browse all → Terrence Feehery Family Medicine Physician · Irving, TX NPI 1821060559 Mary Ward Family Medicine Physician · Irving, TX NPI 1083687206 Maria Biard Family Medicine Physician · Irving, TX NPI 1073589586 Walter Gaman Family Medicine Physician · Irving, TX NPI 1780650291 James Anderson Family Medicine Physician · Irving, TX NPI 1225004351 Charles Powell Family Medicine Physician · Irving, TX NPI 1760458897 Healthcare Associates of Irving Community/Retail Pharmacy · Irving, TX NPI 1073712329 Abigail Soto Medical Physician Assistant · Irving, TX NPI 1043458631
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-13.